Advanced Pain Specialist Of Michigan PLLC
Pain Medicine, Interventional Pain Medicine in Livonia, MI. Organization (NPI-2).
NPI number1942802293
StatusActive
Last updated in NPPESNov 11, 2020
Details
- NPI
- 1942802293
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Pain Specialist Of Michigan PLLC
- Organization subpart
- No
- Enumeration date
- Nov 11, 2020
- Certification date
- Nov 11, 2020
- Last updated
- Nov 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | – | – | |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | – | – | |
| 207QS0010X | Family Medicine, Sports Medicine | – | – |
Practice location
34020 7 Mile Rd Ste 101Livonia, MI 48152-3093
Phone 786-640-0604 · Fax 786-640-0605
Mailing address
34020 7 Mile Rd Ste 101Livonia, MI 48152-3093
Phone 248-516-5016 · Fax 786-640-0605
Authorized official
Nabil H. Hodroj
Organizer
3134674466
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